探讨胫腓骨骨折手术治疗临床疗效.docVIP

探讨胫腓骨骨折手术治疗临床疗效 　　[摘要] 目的 探讨手术治疗胫腓骨骨折的临床效果。方法 方便选取2011年10月―2015年10月在该院接受手术治疗的胫腓骨骨折患者180例，并根据患者不同的手术方式分为3组，带锁髓内钉组60例，给予带锁髓内钉固定手术；加压钢板组60例，给予加压钢板内固定手术；外固定支架组60例，给予外固定架手术，并观察3组患者术后骨折愈合时间、优良率、感染率及并发症率等临床疗效。结果 3组患者术后随访结果显示，带锁髓内钉组优良率93.33%，加压钢板组优良率76.67%，外固定支架组优良率86.67%，带锁髓内钉组优良率分别与其他两组比较，差异有统计学意义（P0.05）；带锁髓内钉组、外固定支架组及加压钢板组患者骨折愈合时间分别为（123.5±14.4）d、（155.4±16.2）d、（185.3±15.5）d，3组患者骨折愈合时间比较差异有统计学意义（P0.05），且带锁髓内钉组患者发生感染率及并发症较少。结论 根据患者骨折类型选择不同的手术固定方式，建议首选带锁髓内钉固定和外固定支架固定，其中带锁髓内钉组临床效果显著，且感染率及并发症率较低，值得临床推广应用。 　　[关键词] 胫腓骨骨折；手术治疗；临床疗效 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）10（b）-0054-03 　　[Abstract] Objective To observe the surgical treatment of fractures of the tibia and fibula of the clinical effect. Methods Convenient selection October 2011 tibia and fibula fracture in October 2015 in our hospital 180 cases underwent surgery， and divided into three groups of interlocking intramedullary nail group of 60 patients based on patients with different surgical methods， to give a lock intramedullary nail fixation； compression plate group of 60 patients received compression plate internal fixation； external fixation group， 60 patients received external fixation surgery and 3 groups of patients and observe the clinical efficacy of postoperative fracture healing time， good rate， infection rate and complication rate. Results The patients were followed up for 3 showed， interlocking intramedullary nail group good rate of 93.33%， excellent rate of compression plate group76.67%， external fixation group good rate of 86.67%， interlocking intramedullary nail group good rate， respectively the other two groups， the difference was statistically significant （P0.05）； Interlocking intramedullary nail group， external fixation group and the group of patients with compression plate fracture healing time was （123.5±14.4）d，（155.4±16.2）d，（185.3±15.5）d， 3 patients fracture healing time the difference was statistically significant （P0.05）， and the interlocking intramedullary nail group of patients wit